| NPI | 1376937508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071.008985) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: OH 6866) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |